نشریه مدیریت اطلاعات سلامت
سال هجدهم شماره 4 (پیاپی 80، مهر و آبان 1400)

Given the impact of the COVID-19 pandemic on routine healthcare delivery, access to the drugs they needed was challenging for patients with non-communicable diseases. This study endeavored to identify the problems of these patients in accessing their medicine during the COVID-19 and the proposed solutions from the perspective of stakeholders.

This qualitative study was conducted through semi-structured individual interviews. Participants (=34) were purposefully selected from Tehran's health policymakers, physicians, pharmacists, and patients with chronic diseases. Data were analyzed through the content analysis method.

Data analysis was categorized into six themes and 15 sub-themes. Primary challenges included medical care, providing the required drugs, financial ability, and access to information. Elevating governance in the drug sector and organizing the drug supply chain were identified as strategies.

To improve patients' access to the medicine they need in crises, proper planning to supply the medicine, use the capacity of pharmacies and pharmacists, set up systems related to telemedicine, and faster implementation of prescription and electronic prescription is recommended.

Adoption of cloud computing in the health industry is an important strategy to improve the quality of health services and facilitate patient care and reduce hospital operating costs and an effective practice in improving the management of customer relationship. This study endeavored to investigate the effect of cloud computing adoption on CRM with the quality mediator role of healthcare services.

This study is correlation-descriptive type. The population included 306 staff of 6 training hospitals in Ahvaz, and it is descriptive and correlational in terms of data collection method. Data collection instrument was a standard questionnaire. Data analysis was performed using structural equation modeling technique.

The results showed that cloud computing adoption has a significant positive effect on CRM, and cloud computing adoption has a significant positive effect on Healthcare Services. Besides, the positive impact of Healthcare Services has a significant positive impact on CRM and cloud computing adoption was confirmed by the mediating role of Healthcare Services on Healthcare Services.

Adoption of cloud computing leads to the improvement of the quality of health care services in the teaching hospitals of Ahvaz. Through the use of cloud computing technology, hospitals can access information about each patient in order to facilitate more effective planning and quality presentation.

Awareness of the status of academic products in dentistry can help researchers in this discipline to make decision; This study outlines the academic structure of a decade of research (2010-2020) in dentistry in the Middle Eastern countries.

The required data were extracted from the science citation index. The collection includes all documents produced in the dentistry by authors from Middle Eastern countries, between 2010 to 2020. The studied scientific documents include 2653 scientific documents. Scientometric method was employed to map the scientific structure.

The field of Dentistry Oral Surgery Medicine had the highest rate of scientific production among the disciplines of dentistry. The academic structure of this discipline consists of 7 clusters. Tehran University of Medical Sciences was ranked third in the list of top universities in the Middle East. Iran ranked third in the Middle East, with corona lexical connections, pandemics, protocols, transmissions, and corona-related issues evident.

Creating an emerging cluster centered on Covid and allocating 74 articles and 12 co-occurrences during a year (2019-2020) shows the concerns of dentists due to the imposed conditions of Corona disease. Dental problems and concerns caused by the Covid 19 epidemic.

Due to the importance and status of the endocrine field in the health sector, facilitating information retrieval in this field seems to be important. This study endeavored to run topic modeling of articles published by Iranian researchers in the field of endocrinology and metabolism in the science citation database.

This applied study was done by text mining method. In this study, abstracts of articles were extracted from the science citation database using selected keywords as a medical subject. 5552 articles were retrieved from 1977 to 2019, then the text of abstracts was analyzed and categorized.

Subject categories with 20 items were extracted in 48 categories. Diabetes with 7145 recurrences has been considered by Iranian researchers more than other topics. Subject category related to metabolic syndrome diseases with the highest number of articles (304 articles) and subject category No. 47 which is the subject category related to osteoporosis with the lowest number of articles (51 articles) were reported.

The results revealed that Iranian researchers have done more research on metabolic syndrome and less research on osteoporosis. Topic categories including Dwarfism, Parathyroid Diseases, Pituitary Diseases, Gonadal Disorders, Polyendocrinopathies, and Autoimmune that do not exist in the topics resulting from modeling indicate a gap in the research of Iranian researchers that emphasizes the need for more attention to these areas.

Virtual education is currently considered an unavoidable necessity. This study endeavored to determine the status of evaluation of virtual courses offered in the field of librarianship and medical information of medical universities in the academic year 2021.

This applied study was conducted with a survey method and a descriptive-analytical approach. The population was 221 undergraduates of library and medical information at Abadan, Isfahan, Bushehr, and Hamedan universities of medical sciences. Due to the limited number, the counting method was used. By the end of the second semester of the academic year 2021, the study population had participated in two semesters of virtual classes. Data were collected by a self-administered questionnaire based on the Kirk Patrick model, which includes three levels of reaction, learning, and behavior from the Kirk Patrick model. The validity and reliability of the instrument were confirmed.

The results indicated that the mean score of reaction domains was 40.38 ±12.08, learning was 16.60 ± 5.70, behavior change was 20.9 ± 6.40 and evaluation of lessons was estimated 57.80 ± 17.30. The effectiveness of virtual education courses held among undergraduates in librarianship and medical information was reported to weak.

Due to the low level of students 'satisfaction with the virtual courses, reducing the level of learning and inappropriate behavioral change, librarianship, and medical information groups are recommended to pave the way for the use of virtual education and gain satisfaction, learning and changing learners' behavior. Upgrade their e-learning programs based on the Kirk Patrick model.

In an economy with a supply chain from raw materials to the final product, there may be risks that affect the entire supply chain and cause a critical situation. To date, few studies have identified the risks of the health tourism supply chain, the results of which show contradictions. Therefore, this study endeavored to do meta-synthesis and model the risks of the health tourism supply chain.

In the first stage, the meta-synthesis qualitative method was used and keywords such as health tourism supply chain risks, healthcare tourism supply chain risks, medical tourism supply chain risks were sought for in databases Google Scholar, Web of science, PubMed, ScienceDirect, Emerald insight, ProQuest, SID reviewed. In the second stage, using the structural-interpretive modeling method, the identified risks model was developed.

Using the meta-synthesis method, risks were categorized into seven concept codes, which are supply, process, organizational, industry, network, end customer and environmental risks. Besides, the results of structural-interpretive modeling showed environmental risks as the efficient and organizational risks, network, process and supply as the effective risks.

Examining the risks of the health tourism supply chain is important for countries interested in developing and improving the quality of the industry. Besides, managers, policymakers, and planners in the field of health tourism should take into account the benefits of risk identification and analysis at the supply chain level, because it helps health systems to achieve supply chain management goals and competitive advantage.

Today, with the development of mobile health (mHealth), it is possible to change the health behavior of patients and there is a potential for positive health outcomes. The inherent features of mHealth equipment lead to numerous competitive health benefits; however, despite that, mHealth development faces many political, safety, security and technical challenges. Lack of proper business model, lack of comprehensive policies for mass investment and non-compliance with legal guidelines are other political challenges to mHealth development. Secure app development requires: safe app development guidelines, knowledge, expertise, and developer motivation; interaction with security experts, stakeholders’ participation, accessing necessary resources, removing limitations and performing security tests. Some apps are technically difficult to install, and some do not have a good interface. Lack of integration of data generated in patients' mobile devices with their electronic health records prevents professionals from easily accessing the data. Continuous measurement of the vital parameters of the mHealth participants leads to a sky rocket increase in data, analysis, communication and workload. Excessive focus on health assessments can negatively affect the mental health of low-motivated users. Accordingly, more motivated patients need to participate in mHealth programs to lead to positive mHealth outcomes.

governments should recognize mHealth and policymakers should address health inequalities through it. It seems that close collaboration of stakeholders can be effective in solving the challenges of developing mHealth. Proper cooperation requires the existence of appropriate guideline s and regulations, extensive investment and the promotion of a culture of mHealth medicalization.

Nowadays, the field of health needs up-to-date information and a large amount of this information publish by journals and they are the most important platform for publishing the latest scientific findings. Therefore, the publishing model of these journals must change according to new conditions. Nowadays, Continuous Publication (CP) model has been considered as a dynamic method in publishing articles due to various advantages for both researchers and those involved in journals; so that journals try to use this publication model. Therefore, for reasons like reducing the pressure on scientific journals due to increasing the volume of articles received, researchers motivation to conduct research, increasing the speed of publication of new topics, priority of sending scientific articles to journals with CP model, speed of receiving citations, speed of indexing journal articles in citation databases and helping to conduct secondary articles, the use of CP model in health journals has become more necessary.